It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 05-05-2008, 10:10 AM   #1
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Patch availability (or lack thereof) update

To all patch users- At least in my area of the country, I cannot find any 12 or 25 patches, except Mylan. I've checked with two major independent pharmacies, and both of their distributors are out of inventory and no dates of replenishment are planned.

With the 25 re-call and subsequent problems getting the sku back on-line, a tremendous amount of market pressure has been put on the 12s, thereby, effecting supply. My pharmacist said that even the Mylans were getting low distribution stock because many have resorted to them as a last resort.

Thus, it leaves patch users like me in a quandary....Either up the dose to 50s, or change therapy. Not sure what I'm going to do..........

Wanted to give other patch wearers a heads up......

Ex

 
Sponsors Lightbulb
   
Old 05-05-2008, 10:22 AM   #2
Senior Veteran
(female)
 
Join Date: Feb 2008
Location: NY
Posts: 1,884
cmpgirl HB User
Re: Patch availability (or lack thereof) update

Ex, If you end up having to change therapies, has there been any med, that you have tried before, that gave you relief even close to the Fent? I'm just curious, because if you tried oxycontin before, and were only on a 2x/day regimine, it might work better with a 3x/day schedule. More docs seem to be open to this now. Just wondering..... cmpgirl

 
Sponsors Lightbulb
   
Old 05-05-2008, 02:36 PM   #3
Veteran
(female)
 
Join Date: Dec 2005
Location: na
Posts: 383
onyxgates HB User
Re: Patch availability (or lack thereof) update

There is also another brand Watson makes a 25 patch. I don't believe it is as good as the brand or Sandolz but it's not as bad as Mylan either. So you might try giving that one a try. With this recall, it seems like I have been hearing about it for about two-three months...what's up with that. I understand a recall but why is it effecting multiple brands and how long does it take to get the stock back up. Makes you wonder!!!

 
Old 05-05-2008, 02:51 PM   #4
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Patch availability (or lack thereof) update

Quote:
Originally Posted by cmpgirl View Post
Ex, If you end up having to change therapies, has there been any med, that you have tried before, that gave you relief even close to the Fent? I'm just curious, because if you tried oxycontin before, and were only on a 2x/day regimine, it might work better with a 3x/day schedule. More docs seem to be open to this now. Just wondering..... cmpgirl
Yes, I was on OC 3 X day....Didn't work very well. My Doc is convinced that OC is only a 6-8 hr med. Went to the patch because of OCs poor performance.

Also, from what I'm finding out, all the 25s and 12s are in short availability due to the re-call. Janssen (Duragesic) was making all their own 25s + Sandoz's 25s......Thus, with the problem not yet fixed, it's putting a market strain on ALL the other brands.

The 12s were a low volume sku (production was set up accordingly) while the 25s were fairly high. Thus, when the 25s became unavailable, lots of Docs were doubling up on 12s to get by....This wiped out the nationwide inventory of 12s.

Ex

 
Old 05-05-2008, 03:14 PM   #5
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: USA
Posts: 1,570
IZZY'SMOM HB User
Re: Patch availability (or lack thereof) update

Im glad I live in the "Hills" then for this, because I have no problem getting mine at all.
My doc was willing to give me something else LA while the patches were pulled, and in the long run, I stayed on the 12's.

Ex, cant you order from somewhere else? I mean my compound pharmacy can get them as well as the chain stores here. If you want, Ill ask my compound pharmacist, She owns her pharmacy and we are good friends.
xoxoxox,
IZZY'SMOM

 
Old 05-05-2008, 07:42 PM   #6
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Patch availability (or lack thereof) update

What part of the country are you in? I've called independents and chains, and none can supply them. The chains are the worse because they typically have to order what their national purchasing office requires them to....Cost control.

Those that do have them, have 1 or 2 boxes. What's alarming is that the distributors, who supply hundreds of pharmacies, are out.

Ex

 
Old 05-05-2008, 11:15 PM   #7
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: western us
Posts: 7,267
ms_west HB User
Re: Patch availability (or lack thereof) update

This is not good especially with the shortage of oxycontin.

 
Old 05-06-2008, 01:55 PM   #8
Newbie
(female)
 
Join Date: May 2008
Location: el paso, tx
Posts: 5
fenfan88 HB User
Re: Patch availability (or lack thereof) update

wow I didnt even know they made 12's. My brand is Watson and they're 50's. I get 10 a month bu only use one when it's time for my menstrual cycle.

 
Old 05-06-2008, 05:38 PM   #9
Senior Veteran
(female)
 
Join Date: Dec 2006
Location: USA
Posts: 1,570
IZZY'SMOM HB User
Re: Patch availability (or lack thereof) update

Quote:
Originally Posted by Executor View Post
What part of the country are you in? I've called independents and chains, and none can supply them. The chains are the worse because they typically have to order what their national purchasing office requires them to....Cost control.

Those that do have them, have 1 or 2 boxes. What's alarming is that the distributors, who supply hundreds of pharmacies, are out.

Ex

Southwest, EX. And I could have had my 25's filled by the chain I use today, but IM not on them anymore. I use the 12's now. They are not back stock, they cant do that, so I really dont know what is going on...sorry I cant be of more help!
xoxoxoxox,
IZZY'SMOM

 
Old 05-06-2008, 06:08 PM   #10
Senior Veteran
(female)
 
Join Date: Feb 2005
Posts: 1,115
slipperyslope HB User
Re: Patch availability (or lack thereof) update

I had to get my oxycontin filled at a different pharmacy b/c 6 stores were out of stock on the 40mgs tabs. I am shocked at this, and a bit worried too. I feel your frusration and I hope you can find your patches. SCARY. Are you out of meds?

Good luck in finding them, I hope your not out.

SS

 
Old 05-06-2008, 06:28 PM   #11
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Patch availability (or lack thereof) update

No, I'm not out Slippery....Thanks for asking...But I've had to scrounge around, that's for sure. And, I don't mean to brag, but I pulled out all the stops and was very resourceful...Not all have the means (or time) to do so.....Makes me wonder what many are doing?

I literally called every independent pharmacy I could within 25-30 miles...A reasonable drive. Independents are my target because they deal directly with the distributor / warehouse, whereas chains deal with their home office who orders nationally. Also, the chains are much less likely to work with you on special orders, holding product, and etc.

Before my most recent appointment, I was able to find a couple of boxes @ one pharmacy, and they are holding them for me. Then, they special ordered the remaining script qty, which are due in to the warehouse in about 7-10 days. Because my monthly script has been divided up into two shipments, I had to get two scripts (one monthly script broken up into two) due to the CII laws. The only thing I'm guaranteed is the first part of the script that they are holding....If the remaining balance doesn't come in, I'm in trouble!

Of course, I had to run this all by my Doc, which he was ok with.....But, the key was to find the inventory first (before my appt) and then get the scripts to match. A pain (no pun intended) to say the least. Conversely, if a unsuspecting patient simply shows up @ their respective pharmacy, they are in for a rude awakening. With all my meds, I have made a habit of calling a week to 10 days ahead for reasons just like this....Gives me time to scrounge around and find inventory.

Now, it is important to note that the Mylans are available, but my Doc has strongly recommended that I not use them, so I'm gun shy....Big time! However, my pharmacist said even they are running low due to the overall market pressure on the 25s. Calling Janssen is useless as they won't tell you anything. All they say is "no information is available at this time."

Lastly, according to the most recent warehouse we contacted, the Duragesic brand (in both 12s and 25s) are due in the next couple weeks whereas the Sandoz won't be available until July. This tells me that Janssen is going to replenish their "branded" product before making product for Sandoz.....Which makes perfect financial sense (for Janssen).

Ex

Last edited by Executor; 05-06-2008 at 06:33 PM.

 
Old 05-06-2008, 10:19 PM   #12
Veteran
(female)
 
Join Date: Mar 2007
Location: ct
Posts: 438
eyesworld HB Usereyesworld HB Usereyesworld HB Usereyesworld HB Usereyesworld HB Usereyesworld HB Usereyesworld HB User
Re: Patch availability (or lack thereof) update

why don't you use mail order?
Last year I was on a specific prescription (non narcotic) and my doc had me get it from a mailorder place. It came in a styrofoam refrigerated box and it was overnighted. Is there a reg about this precription where you cannot do this?

 
Old 05-06-2008, 11:07 PM   #13
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Patch availability (or lack thereof) update

Don't think you can do CIIs via mail....Not sure.

Ex

 
Old 05-07-2008, 07:24 AM   #14
Member
(female)
 
Join Date: Jul 2004
Posts: 54
Advice seeker HB User
Re: Patch availability (or lack thereof) update

My husband had been on the 100 mcg patch for several years. He was in the process of titrating down due to side effects. He was down to the 25s when the recall took place. (He had tried the Mylan previously and went into withdrawals, so they were not an option.) After being unable to get the 25s, his doctor wrote a script for him to use two of the 12s. However, his insurance company refused to pay for them. His doctor increased his dosage back up to the 50s for one month, but the side effects were still too much. (Constipation, diverticulitis and colon infection). So, his doctor switched him to Opana ER and, so far, he is really happy with the change.

 
Old 05-07-2008, 07:42 AM   #15
Inactive
(male)
 
Join Date: Jan 2008
Posts: 4,017
Executor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB UserExecutor HB User
Re: Patch availability (or lack thereof) update

I have heard of others who say the Opana ER works well. Can you give me some more details? Does he take 2 x or 3 x? Any info you could provide would be appreciative.

Thxs.

Ex

 
Closed Thread




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 10:22 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!